Form 5500 · Employee benefit plan · GREEN BAY, WI
BELLIN GUNDERSEN HEALTH SYSTEM, INC.
BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s employee benefit plan is documented in its annual Form 5500 filing with the Department of Labor. Its broker of record is USI INSURANCE SERVICES LLC. Coverage is written through UNUM LIFE INSURANCE COMPANY OF AMERICA and 9 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 92-0504278 · plan 512 · as of Aug 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Life | 14,362 | December | $3,572,187 | $316,525 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | Disability | 11,601 | December | $7,003,696 | $216,641 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA | — | 4,929 | December | $1,199,848 | $180,377 |
| UNUM INSURANCE COMPANY | — | 1,594 | December | $472,456 | $45,738 |
| UNUM INSURANCE COMPANY | — | 3,176 | December | $404,342 | $39,463 |
| UNUM INSURANCE COMPANY | — | 1,287 | December | $378,839 | $36,947 |
| METROPOLITAN LIFE INSURANCE COMPANY | Vision | 6,332 | December | $347,487 | $34,647 |
| ARAG INSURANCE COMPANY | — | 1,780 | December | $174,371 | $17,750 |
| STARR INDEMNITY & LIABILITY COMPANY | — | 14,048 | December | $15,528 | $3,106 |
| EMPATHIA, INC. | — | 5,925 | December | $218,958 | $0 |
Questions
Who is BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s benefits broker?
Per its most recent Form 5500 Schedule A, BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s broker of record is USI INSURANCE SERVICES LLC.
What insurance carrier does BELLIN GUNDERSEN HEALTH SYSTEM, INC. use?
BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s benefit plan is written through UNUM LIFE INSURANCE COMPANY OF AMERICA, among 10 disclosed carriers.
When does BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s group plan renew?
The most recent Schedule A policy period for BELLIN GUNDERSEN HEALTH SYSTEM, INC. ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from BELLIN GUNDERSEN HEALTH SYSTEM, INC.'s public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.